CLINICAL RESULTS OF DELORME'S AND ALTEMEIER'S PROCEDURES IN RECTAL PROLAPSE

Area of Science:

• Colorectal Surgery
• Gastroenterology
• Surgical Outcomes

Background:

• Rectal prolapse significantly impacts quality of life, with Delorme and Altemeier procedures being common surgical options.
• The choice between Delorme and Altemeier procedures for rectal prolapse remains debated.

Purpose of the Study:

• To identify risk factors, indications, and contraindications for Delorme and Altemeier procedures.
• To analyze the short- and long-term results of both surgical techniques for rectal prolapse.

Main Methods:

• A retrospective and prospective analysis of 73 patients undergoing Delorme's or Altemeier's procedure between 2011 and 2024.
• Comprehensive clinical and instrumental assessment, evaluating functional outcomes, complications, and recurrence rates.

Main Results:

• Complications were generally moderate and manageable conservatively.
• An average recurrence rate of 12% was observed, which is lower than reported in many studies.
• Major risk factors for recurrence included chronic constipation, sedentary lifestyle, poor diet compliance, and age over 60.

Conclusions:

• Both Delorme and Altemeier procedures demonstrated high effectiveness and safety for rectal prolapse treatment.
• Satisfactory functional outcomes included improved fecal incontinence, normalized bowel movements, and resolved urological issues.
• Proper preoperative risk assessment and postoperative management are crucial for minimizing recurrence and enhancing patient quality of life.